Active NPI
Alexis Ventura
- Psychiatric/Mental Health Nurse Practitioner
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95021065
- Practice address
- 8710 Monroe CT Ste 150
Rancho Cucamonga, CA 91730-4885 - Phone
- (909) 941-4870
- Fax
- (909) 941-4875
- NPI assigned
- Nov 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95154959 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95021065 | CA | Primary |
Addresses
Primary practice location
8710 Monroe CT Ste 150
Rancho Cucamonga, CA 91730-4885
Mailing address
11210 4TH St Apt 2305
Rancho Cucamonga, CA 91730-6058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8710 Monroe CT
Suite 150
Rancho Cucamonga, CA 91730-4885
Phone (909) 941-4870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Psychiatric Medical Group, Inc | Nurse Practitioner | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Inland Psychiatric Medical Group Inc | Psychiatric/Mental Health | Past | Accepting new patients |
| Pomona Valley Hospital Medical Center | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522
23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455
73700 Dinah Shore Dr
Ste 106
Palm Desert, CA 92211
Phone (760) 832-6352
8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870
1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Redlands, CA
- NPI 1649217761
Psychiatric/Mental Health
-
- Psychiatry Physician
- Palm Desert, CA
- NPI 1366742140
Nurse Practitioner
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
Psychiatric/Mental Health
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Psychiatry Physician
- Upland, CA
- NPI 1821779505
Psychiatric/Mental Health
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1609410463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11210 4TH ST APT 2305",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917306058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8710 MONROE CT STE 150",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304885",
"telephone_number": "909-941-4870",
"fax_number": "909-941-4875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95154959",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95021065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.